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Basic Urine Test (Qualitative)

New Jersey rates for HCPCS 81005

This is a general urine test that checks for the presence of various substances using simple chemical methods, without using antibody-based testing techniques. It provides a quick check for things like sugar, protein, or blood in the urine.

Rates data updated October 2026.

How much does Basic Urine Test (Qualitative) cost?

$1.82

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $1.82 for this service. The price depends on where it is billed: about $1.66 from a physician practice, and about $5.01 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1.66$1.51 to $2.14
FacilityA hospital or hospital-owned outpatient department$5.01$1.95 to $8.51

How much rates vary

Facilitymedian $5 · 10th to 90th $2 to $40Professionalmedian $2 · 10th to 90th $1 to $3
$1$2$5$10$20$50$100facility $5professional $2

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1.95
Median
$1.95
Typical High
$58.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.66
Median
$1.82
Typical High
$2.82
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$0.83
Median
$0.83
Typical High
$1.26
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.33
Median
$0.33
Typical High
$0.50
AmeriHealth
Setting
Professional
Modifier
None
Typical Low
$1.20
Median
$1.20
Typical High
$1.20
Cigna
Setting
Facility
Modifier
None
Typical Low
$2.51
Median
$5.37
Typical High
$10.47
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.26
Median
$2.14
Typical High
$4.47
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$0.87
Median
$1.10
Typical High
$2.45
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$2.00
Median
$15.85
Typical High
$151.36
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$1.51
Median
$1.51
Typical High
$1.51
United
Setting
Facility
Modifier
None
Typical Low
$1.95
Median
$1.95
Typical High
$6.03
United
Setting
Professional
Modifier
None
Typical Low
$0.98
Median
$1.74
Typical High
$2.57

Where New Jersey sits

The same service costs 3.2 times more in Kansas than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Jersey· 48th of 51

$1.82

KS $5.62DC $1.74

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.